Development of e-learning to promote self-care in lung cancer patients

为提高肺癌患者的生活自理能力，并对其效果进行评价，本研究通过对肺癌患者出院后要过上丰富而满意的生活所需要学习的内容进行回顾，开发了学习软件。我们开发了一个学习系统，将关于受试者的信息(治疗、手术、家庭情况)和关于学习的测试(自我护理、癌症相关知识的提高)结合在一起。我们把这些系统放在一台使用触摸屏输入的个人电脑上，这样老年人就可以很容易地操作它。然后，我们要求住院的肺癌患者使用该系统进行自主学习，并评估其效果。出院后过上丰富而满意的生活所需的学习内容包括：[对癌症的了解][对治疗1测试的了解][物理疗法][预防感染][管理日常生活][管理情绪][症状恶化时该怎么办]。这些内容被融入到用户易于理解的屏幕的开发中。我们还制作了一部动画，目的是促进对该系统的理解和积极参与。根据护理本科生对内容的可操作性和易解性的评价反馈，我们进一步开发了该系统。目前的适应症是，当患者能够在自己选择的时间在床边学习时，学习动机会提高，并对疾病、治疗、预防感染和症状处理有更深入的了解。

The purpose of this study was to develop an e-learning program to promote the self-care ability of lung cancer patients and to evaluate its effectiveness.We reviewed the contents of what lung cancer patients need to learn in order to live a rich and satisfactory life after discharge from hospital and we then developed learning software. We developed a learning system combining information about the subjects (treatment, operations, family situation) and a test about learning (self-care, improvement in cancer-related knowledge). We put these systems on a personal computer which used a touch panel for input so that persons of advanced age could operate it easily. We then asked hospitalized lung cancer patients to use the system for independent learning and evaluated its effectiveness. The learning contents needed in order to live a rich and satisfactory life after discharge included the following elements: [understanding of cancer] [understanding of treatment 1 tests] [physical therapy] [prevention of infection] [managing everyday life] [managing feelings] [what to do when symptoms worsen]. These contents were incorporated into the development of a screen which was easy to understand for users. We also created an animation with the aim of promoting ease of understanding and active engagement with the system. We further developed the system on the basis of evaluative feedback from university nursing students about the ease of operability and ease of understanding of the contents. Present indications are that when patients are able to learn at bedside at a time of their own choosing, learning motivation improves and a deeper understanding of disease, treatment, prevention of infection, and management of symptoms is attained.